Active NPI
Brittney Connery, LICSW
- Clinical Social Worker
- Concord, MA
National Provider Identifier
1184194904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 300 Baker Avenue
Suite 300
Concord, MA 01742 - Phone
- (864) 336-2731
- Fax
- (833) 740-3387
- NPI assigned
- Dec 5, 2018
- Last updated
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
300 Baker Avenue
Suite 300
Concord, MA 01742
Mailing address
144 Oakland St
Wellesley, MA 02481-5323
Phone (864) 336-2731
Other practice location 1
85 E High St
Avon, MA 02322-1218
Phone (857) 939-1692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240720000184 | NH | Practitioner - Clinical Social Worker | 0345687711 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1184194904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 OAKLAND ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815323",
"telephone_number": "864-336-2731",
"fax_number": "833-740-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BAKER AVENUE",
"address_2": "SUITE 300",
"city": "CONCORD",
"state": "MA",
"postal_code": "01742",
"telephone_number": "864-336-2731",
"fax_number": "833-740-3387"
}
],
"practiceLocations": [
{
"address_1": "85 E High St",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "MA",
"postal_code": "023221218",
"country_code": "US",
"telephone_number": "857-939-1692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNERY",
"first_name": "BRITTNEY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2024-03-08",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.